INFO LINE OF SAN DIEGO
NPI: 1760048086
· SAN DIEGO, CA 92123
· Public Health or Welfare Agency
· NPI assigned 05/13/2019
$3.55M
Total Medicaid Paid
Provider Details
| Authorized Official | REDFERN, PAUL (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 05/13/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,420 |
$289K |
| 2020 |
5,192 |
$1.16M |
| 2021 |
4,189 |
$922K |
| 2022 |
1,613 |
$382K |
| 2023 |
1,413 |
$296K |
| 2024 |
2,695 |
$502K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
10,886 |
3,692 |
$2.38M |
| G9012 |
Other specified case management service not elsewhere classified |
5,636 |
2,252 |
$1.17M |